Provider Demographics
NPI:1407231137
Name:GARZA, JANETTE LYNN (LPC, LCDC)
Entity Type:Individual
Prefix:MRS
First Name:JANETTE
Middle Name:LYNN
Last Name:GARZA
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 AGNES ST
Mailing Address - Street 2:A-18
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-3272
Mailing Address - Country:US
Mailing Address - Phone:361-882-1413
Mailing Address - Fax:361-882-1417
Practice Address - Street 1:1231 AGNES ST
Practice Address - Street 2:A-18
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-3272
Practice Address - Country:US
Practice Address - Phone:361-882-1413
Practice Address - Fax:361-882-1417
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12062101YA0400X
TX71395101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional